Download the Complaint Form in English/ Hindi or submit your application online below: Name of Channel * Programme Title / Broadcast Item * Programme date * Day12345678910111213141516171819202122232425262728293031 Day MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Year20192020202120222023202420252026 Year Time of Broadcast * Hour123456789101112 Hour :Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 Minute am pm Category of Complaint * - Select -Content Related ComplaintsQuiz showsFilmsNews RelatedAds relatedTeleshopping related complaintDetails of Complainant(s) (Please complete these details in full) Surname * First Name * Gender * - Select -MaleFemale Mobile No. & Landline No E-mail Id * Fax Number Address * All complaints decided by the Council may be made publicly available including the name of the complainant. However, in the event of complainant has valid concerns relating to privacy issues in making a complaint, the Council may in its absolute discretion consider requests from the complainant for anonymity/ confidentiality. Short summary of complaint in not more than 1000 characters * Is the matter complained of the subject of any proceedings in a court of law or other Tribunal or Statutory Authority? (Yes/No) * Declaration to be given by the Complainant The facts stated in the complaint are true and correct to the best of my/our knowledge and belief. I/we have placed all relevant facts before the Council and have not concealed any material facts; I/we confirm that no proceedings are pending in any Court of law or other Tribunal or Statutory Authority in respect of the subject matter complained of before the Authority; I /we shall inform the Council forthwith if during the pendency of the inquiry before the Authority the matter alleged in the complaint becomes the subject-matter of any proceedings in a Court of law or other Tribunal or Statutory Authority. Browse File Upload Files must be less than 2 MB.Allowed file types: gif jpg jpeg png pdf doc docx. I have read and agreed to the terms and conditions * Yes Hidden Email Submit
